A 2026 bill shows the direction of travel. SB 2013/HB 1905, titled the Nursing Education Integrity and Oversight Act, creates T.C.A. 63-7-501 through 63-7-506. For two years after it takes hold, Tennessee's nursing board is to set aside, unapproved, every application from a program headquartered in another state that wants to operate in Tennessee, enroll students there or place them in Tennessee clinicals. Every level is covered, from first-license programs to RN-to-BSN and APRN study.
Out-of-state programs approved earlier keep their standing, yet owe the Board and the state's Center for Nursing Advancement any figures either one asks for, down to preceptor names and placement numbers. The Center has until June 30, 2027 to propose fresh approval standards. The law takes effect when enacted; a secondary source puts that at April 27, 2026, but official enactment is unconfirmed. Today's Board rules (Tenn. Comp. R. & Regs. 1000-01) contain no express prior-approval requirement for out-of-state clinical placements.